Provider Demographics
NPI:1619904646
Name:MURPHY, CARLA ELIZABETH (DO)
Entity Type:Individual
Prefix:DR
First Name:CARLA
Middle Name:ELIZABETH
Last Name:MURPHY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MRS
Other - First Name:CARLA
Other - Middle Name:ELIZABETH
Other - Last Name:MCKAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1196 PRESERVE CIR
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-7045
Mailing Address - Country:US
Mailing Address - Phone:303-324-9463
Mailing Address - Fax:303-526-9873
Practice Address - Street 1:8300 W 38TH AVE
Practice Address - Street 2:EMERGENCY DEPARTMENT, EXEMPLA LUTHERAN MEDICAL CENTER
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6005
Practice Address - Country:US
Practice Address - Phone:303-425-2087
Practice Address - Fax:303-467-8894
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO28098207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01280981Medicaid
COCR1778Medicare PIN
CO01280981Medicaid